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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNiT AUILI'ER DEITARATION
<br />! @ lrm undE p6dy of Fjury lhr , m qmd nDh rh. Conr..16' Lic.e lrw for lh. fol!,w{B laotr {Sd'7011 t
<br />Buio63 ad Pioadion cod.): A.y cny o, coun, lhich r.qunB ! tEi.n ro connod. .hE isprow. &,olirh or r+.n s,
<br />nrudue Fi,r ro ir! i!um.. .1ro r.qun6 th. .?pli.x! aor i$h Finn b frL r lisr.d Jldtul thn lE or dE i li.cnr.d FA{d
<br />to 0E Forbb6 of rlE Conrtu r L'm*d t $ (Ct pr6 9, Co@*i.! *nh Sdion ?000 ot Divisb. I ol rlE &Bi!6 id
<br />Pmfd.N Co&) d rni lE or nE it sarF rb.!6om rd rh. hct for lh. .lkS.d adplDn. Any virhaoo ofsarbo 701 I t b, ay
<br />.Cplt&rfor!FnhrubjElrrh..p?liorrto!civ'lp.utrofmrmr.ln&liv.hun&.d&lLB(l5m)
<br />-1,
<br />u own6 of th. pmlEly, or m, .mplo,6 wnh s.g6 s rh.n sL &nFn oIior will & tlr *orl ed [E snrl@ i! bl
<br />irrdr&j or or6!d fd n]. tsc. 104.4. Blri.d ed PrtrldioN Codc Th. ( odr&rd i trdB ln &d @t {,p1, ro e o*G ot
<br />ttE FFry *'tb hrili r iqorq ,Ee in * bo <kE ixfi N.t hiMlf or hd*lf or fimu3h ht r ls o*n 691016.
<br />ForiLd lhd st lqarqEr! & d ncn ddofig dtr {l lI.lb6s. rtE hrirriB d nF.s€d iiEf,ithhmra
<br />of curpldiotr rlE (}"c Buita wil l$! rlE hr&t o, F!v!t rhi lE or !t dd 'rr hr! or 64.0r d!. FFt, ttr iE F,F... ot
<br />-1.
<br />u oqE ofrlr rrepsry. d cr.lu'vcly co'rdrDs unh ficas.d.od*ro6 ro.ordld rll Frjdl (S( ?044, &aE
<br />.,n ADlsii. c6d. T1. conlrEo, ! l-i..e t w &E m! .r?ly to x osnq of FoFly sho hlil& or 6pmy6 th!@..
<br />&d *hd @d..cr, fq uh Fq<<Ir *ih !Codr*lo(i) li!!.d p.l:ld !o rh.Codr.dd'r l-kaE rrf,)
<br />_l m .r@g undd Sdrio
<br />!!8f,E8S:tAlrtEdSArIO!!!c|Jaalla!
<br />I hnct y .rfm un& FlrD of p.rury oc orrh. aolk'$ iB dchdioB
<br />I hav.dd*rll u'nra'i r cdill.arr ol colsdr h s.lf-ldur. lor $!, i.' r con,p.nsnon s Foviddl tr hy 56l 'on I7Oo ol|fi.
<br />lrtn ('o&. forrh!ton,nllm.of rh.\ort for*hichrh. p(m( n ilru.ri
<br />! h.t. ..d q lll @mr.i. \.*(r co,rFBd Equn d b) Sdion l7(r) otrlE titu Co&. lo, tlE Ff(,lle. ol
<br />rh. *rtrl lor *hih rh6 Ffrn t eEl Mt rvt crind plf,r_ numb.r r.
<br />-l
<br />c6lrb r&r in rlE Frolr]lu. of rlE$ 6
<br />'o
<br />beoffi 3!q|(d b !h. * h6 fr
<br />wo.td (omFNti.n pmviiioN of S.d
<br />fq *hEh rhr FEn 6 s.d. I .h,I mr at!0Ly uy F$n 6 u, ffi
<br />n h$r orcd,aomi!. .nd 4r lhd it I $ould b.er 3uqd b dE
<br />! 700 of th. lrtnr (.de I llull. fonhwnh 6qily sith rthe pmvirioa
<br />W IININC F.ihn. b s@ q$rl6 comFdbn dna+. n u.Lrful. &d rhdl sbj.rl x onplols lo sinir.l pods rd
<br />6 u9 ro oE hu.{i.d dFunri .l.lh^ (tlm,()m),ion ro rlE or oa cotrp.rBrioG d&n,36 ! Foridci for E
<br />lh.l,hor Code (16.d iln ddE/t t6
<br />-:---7--=
<br />ltLtl.t&\rrlD
<br />I hdlty rm u!& Fdry of Fiury tu I s licd utr& Foris. of c,|4G 9 (@@i,A *in Sdion ?00o) of Divirbn l
<br />oa llE BBiK !n PmfdbB Cod.. !n my ltaB i in tull 6r !n.[a:
<br />?6w-
<br />(o!ira!cua[r,];llDl!c-Acti!tr
<br />I hcby amm utujs rsshy ol rrjur, 'hd
<br />lhdc b ! ('nn D(.1 ion Lnding .86cy lor rh€ psnrnmc. of th. r otl ,or shich On IEDit it
<br />islal(sc lLxr?, (-i! ( )
<br />AIIUCAILDECIJMII'I!
<br />I hclby .fiif, uo& Frny olFlu.y oE of rlE follo*inr dchrdioG:
<br />Ir<bhrn PoTilj Artdlc Norifrlion F.d6!l i.sdrFs (Tnb L!0. P.d6,
<br />-R.qui,!d
<br />l,lra of Norifr.nD.
<br />I .6l ily rhd rh. f.d6.l EBuhioN Erdnb3 .ndo! Emlrl s. nor arli<.bl€ lo lhd Fmjcl
<br />-l
<br />o6riE rhi I h-r raj rh6 .pglrrDn rn nn. rhd rlE .lEec iltqnl'bn B corEr I .sc ro oBply $ ith .ll Cily .d Cod)
<br />ord'BN6 rt Sld. us! Ehirs ro hrild4s coreudD( !n h6.t ) lurlbtuc rcF<rrn 6 ol rht Cnr dd Couriy lo 616 wo. llE
<br />!!*. 'El ion.d prop.n) for
<br />,1ppli(.nl or Agorl sllrrld
<br />/t
<br />Ld )<-.r 3t"zr
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />S pas, Pool, Fountains
<br />S igns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondin g/Grounding/UFER o/rr lrq gZt4tot
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof To p Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough Clttlrq *i.!lo)
<br />Service Meter
<br />FINAL q-lr-t.Iwu/t>
<br />Notes, Remarks, Etc.
<br />Air Conditioners
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